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CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT. THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the
15th
day of
July, 2002
BETWEEN
Debra Coen, 372 Brooklyn Avenue, Brooklyn, New York 11213
II '?:,,- I Lt.. \
party of the first part, and
Melanie Francis, One Cottontail Court, Shirley, New York 11967
.,
party of the second part,
WITNESSETH, that the party of the first part, in consideration of.
One Hundred Thirty Eight Thousand ($138:000.00) doilars
paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs
or successors and assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buiidings and improvements thereon erected, situate,
lying and being in the
See SCHEDULE A annexed hereto and made a part hereof.
Being and intended to be the same premises conveyed to grantor hereinby deed dated 1/24/01 recorded 6/20/01 in Uber
12125 cp 442.
7riU\"l'S,L':, kV\UJ.O{\ 0>', SQ05 we.J>t~hoJ.tu- I?d, 4a.Jh+-u.c.-'1 ~y
TOGETHER with ali right, title and interest, if any, of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and ail
the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of
the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the
first part will receive the consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the teta! of the same for any other
purpose. The word "party" shall be construed as if it read "parties" when ever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
IN PRESENCE OF:
() A J)/IR CA:JS2Jv'-
----~-----------------------------
~
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DE8RA COEN
Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts- Uniform Acknowledgment
Form 3290
./
Agents for Commonwealth Land 'iltle insurance company
TITLE NO. 0208-291782
SCHEDULE fI\
ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, County of
Suffolk and State of New York, and being known and designated as and by Lot Number I on a certain map entitled,
"Map of Heritage Harbor" and filed in the Office of the Clerk of Suffolk County as Map No. 6853 on July 29, 1977.
FOR INFORMATION ONLY:
District Section
1000 113.00
Block
14.00
Lots
001.000
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I
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2
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~umber of pages
TORRENS
RECORDED
2002 Hell:J 06 08:1'3:21 m'l
Edl.o.lard P.Pomaine
CLERK OF
SUFFOLK cout.~r-/
L DOOOi2201
P 384
DT# 02-00E,14
Serial #
Certificate #
Prior Ctf. #
Deed I Mortgage Instrument
Deed I Mortgage Tax Stamp
Recording I Filing Stamps
4
FEES
Page I Filing Fee
Mortgage Amt.
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-5217 (State)
Sub Total
Comm. of Ed.
"-O~
Spec.lAssi!.
Or
Spec. I Add.
R. P.T. S.A.
~-
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment __
Transfer Tax '5 5;). ,~
Affidavit
Certified Copy
GRAND TOTAL
\O~ '
Mansion Tax _
The property covered by this mortgage is or
will be improved by a one or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Reg. Copy
Sub Total
Other
Real Property Tax Service Agency Verification
Dis!. Section 8 lock Lot
6 Community Preservation Fund
Consideration Amount $ '3 I OCO I oe
CPF Tax Due $ I. ;lft,{J,co J
,
Stamp
02026553 1000 11300 1400 001000
/pT S
( R MMA A
~5-AUG-{)
Date
Initials
Satisfact,onslUlscnarges/Keleases L1SII'roperly Uwners Mallll1g Address
RECORD & RETURN TO:
f1 tLu~J I'" 1- 11 l /l~ 'iS~.
~ Db Gofpo!Ct.,k ?lctCA.:
! Vl4.J\dlCLj f\J Y Il149
9
Suffolk Count
Title Company Information
Co. Name Om /I-r~f3:
/1) /1
Recordin & Endorsement Pa e
d~Kd
8
Title #
This page forms part of the attached
___ made by:
J)~~({,- Wt(l
(SPECIFY TYPE OF INSTRUMENf )
TO
A'1.t[a /I) I e +rl1nuS
TIle premises herein is situated in
SUFFOLK COUNTY, ~W YORK.
In the Township of d 6 u.J~ err d
In the VILLAGE
or HAMLET of \Y\Clbh htC"t:.
BOXES 5 THRU 9 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(OVER)
111111111111111111111111111 11111 11111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 4
TRANSFER TAX NUMBER: 02~00614
Recorded:
At:
LIBER:
PAGE:
08/06/2002
08:19:21 AM
D00012201
384
District:
1000
Section: Block:
113.00 14.00
EXAMINED AND CHARGED AS FOLLOWS
$138,000.00
Lot:
001. 000
Deed Amount:
Received the Following Fees For
Page/Filing
COE
EA-CTY
TP-584
RPT
Transfer tax
$12.00
$5.00
$5.00
$5.00
$30.00
$552.00
Above Instrument
Exempt
NO Handling
NO NYS SURCHG
NO EA-STATE
NO Cert. Copies
NO SCTM
NO Corom.Pres
Fees Paid
$5.00
$15.00
$25.00
$0.00
$0.00
$1,260.00
$1,914.00
Exempt
NO
NO
NO
NO
NO
NO
TRANSFER TAX NUMBER: 02-00614
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
LEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http:// www.orps.stare~ny~uil or PHONE (518) 473-7222
~j::=!ltY...:I'l-Il,-?3,8'\.!i: 91
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REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD OF REAL PROPERTY SERVICES
"
RP.~'6217
C3'. took
, 'RP-SZl1Rfl''MII7:
PROPERTY I
2. Buyer
Name
r ,;\ I' ',(.' I,",
t I \ \~ _ _
LAST NAME I COMPANY
, ,.
n.. (((..
fl" 1 1 I\'\~ I t
FIRST NAME
CITY OR T N
I
FIRST NAME
rn C:IY'Ut\0(" I
LAST NAME I COMPANY r FIRST NAME
'>\1 i
V \..{ i-u..
LAST NAME I COMPANY
3. rax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form)
Address
CITY OR TOWN
(-\
4. Indicate the number of Assessment
Roll parcels transferred on the deed
\1 # of Parcels OR D Part of a Parcel
DEPTH
lOR I
'ACRES'
\ .J. ./1
(Only if Part of a Parcell Check as they apply:
4A. Planning Board with Subdivision Authority Exists 0
48. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
5. Deed
Property
Size
FRONT FEET
Ixl
6. Seller
Name
~Cfi"J
LAST NAME I COMPANY
f Li
FIRST NAME
1+
L-
LAST NAME I COMPANY
FIRST NAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
., A~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant Land
D Non-Residential Vacant Land"
E ~ Agd'"It",,' I ~
F Commercial J
G Apartment K
H Entertainment I Amusement L
Community Service
Industrial
Public Service
Forest
Check the boxes below as they app.ly:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
108. Buyer received a disclosure notice indicating
that the property is in an Agricultural District
D
D
D
D
'lNFORMA
{I I \'2. I D7A
~ , J
Month D., Yoa,
1;.1 I Ir, I n?-+
'/
Month Da, Year
15. Check one or more of these conditions as applicable to transfer:
11. Sale Contract Date
A
B
C
D
E
F
G
H
I
J
Sale Between Relatives or Former Relatives
Sale Between Related Companies or Partners in Business
One of the Buyers is also a Seller
Buyer or Seller is Government Agency or Lending Institution
Deed Type not Warranty or Bargain and Sale (Specify Below)
Sale of Fractional or Less than Fee Interest (Specify Below)
Significant Change in Property Between Taxable Status and Sale Dates
Sale of Business is Included in Sale Price
12. Date of Sale I Transfer
,~, 7, 0. 0, () , 0 , 0 I
, , .
(Full Sale Price is the total amount paid far the property including personal property.
This payment may be in the form of cash, other property or goods, or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
/1
14. Indicate t~e value .of personal I, , '.! f 0 , 0 I
property Included In the sale, , .
I A$!1ESSME\'lTJNjI$~~ -~~.I<l~'l/'III~~if1<il~.1lt1lll1 RdlI ~ r.x llIU,1
16. Year of Assessment Roll from I 0 , I
which information taken I
13. Full Sale Price
Other Unusual Factors Affecting Sale Price (Specify Below)
None
17. Total Assessed Value lof all parcels in traoster} I
; ;
/M; (7/(. hl"o" 1<-
113
I ;;
;
Or)
.-
18. Property Class
12,\ ,\~-u
19. School District Name I j ~.
20. Tax Map Identifier(sll Rollldentifier(slllf more than four, attach sheet with additionalldentifierlsll
14 - (
II) /'<1 '000
I glk' I ~ ' (TD
'~!j1
I certify that aU of the items of information entered on this form are troe'8Dd correct (to the best of my knowledge and belief) and ,I understand that the making
of any willful false statement of material fact herein will subject me to:f;he iurovikions of the penalla~ relative to"the ~ng and fiIingi of false imtruments.'
BUYER BUYER'S ATTORNEY
)f C 1,":seD
L of OOI.DOD
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, , . I 1'.
dlel,1ili! i OU',r
STREET NAME (AFTER SALE)
.::7
/,( I L
LAST NAME
It
-\
\ It,!
oJ ,'..J.
FIRST NAME
.,
, ["I";
:'t
STREET NUMBER
, "'\
,_ I,
\., 'l'
,
AREA CODE
;/1
r
t.
-; J~
TELEPHONE NUMBER
I
:,\1 j
C1TY OR TOWN
I (, i
!
Nr
STAT
11.1vt
ZIP CODE
"
\,"-
CITYlroWN ASSESSOR
COPY
SELLER
(
SELLER S!GNATURE ,
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